刘继帅

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965476062},{"body":{"content":"稍等我看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965480101},{"body":{"content":"有检查单吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965492627},{"body":{"content":"孕周？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965497946},{"body":{"content":"检验单没在身边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965508271},{"body":{"content":"没怀孕就是想问一下盆腔粘连对孕妇和孩子有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965566215},{"body":{"content":"宫外孕发生率高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965689316},{"body":{"content":"什么程度？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965704905},{"body":{"content":"这个不知道","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965746559},{"body":{"content":"建议：先治病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965834430},{"body":{"content":"后备孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965841235},{"body":{"content":"它这个用动手术吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965907957},{"body":{"content":"什么情况呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965940513},{"body":{"content":"根据情况选择治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965953170},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965968708},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966002979},{"body":{"content":"若有检查单，可以发给我看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966030143},{"body":{"content":"检查单没在我这","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966049821},{"body":{"content":"所以看不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966072316},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966103521},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966119638},{"body":{"content":"方便时拍照发给我就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966123148},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966129043}]

女25岁

2022.05.20

[{"body":{"content":"用过**，药店也买过湿疹的药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878936880},{"body":{"content":"你好，从图片条件来看，考虑面部皮炎。与过敏、皮肤屏障功能受损有关。可以外擦0.03%******，每天一次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879230600},{"body":{"content":"小硬包的症状和皮炎能对应的上是不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879266431},{"body":{"content":"这个药**店有卖么，平时需要注意什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879289517},{"body":{"content":"和天气冷热有关么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879305911},{"body":{"content":"对的上。大的药店有卖。和冷热有关系的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879598098},{"body":{"content":"生活规律，睡眠充足，调节饮食，多吃蔬菜水果，限制多脂及多糖食物，忌饮酒及辛辣刺激性食物，避免过度精神紧张！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879600223},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880231720},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881138221}]

女34岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018409762},{"body":{"content":"**拍照给我看看，买几盒？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018423793},{"body":{"content":"开4合","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653018429920},{"body":{"content":"您是患者什么人？病情稳定吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018452366},{"body":{"content":"儿子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653018471410},{"body":{"content":"还可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653018486320},{"body":{"content":"1)有过青光眼病史吗？\n2)\t服用过****、****吗？\n3)\t目前正在自伤、自杀等消极冲动行为吗？\n 这些有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018500837},{"body":{"content":"聊天记录里找绿色处方单链接，直接付款！成功后，在家等着收货就行了！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018510319},{"body":{"content":"帮我点右下角【加号➕】或者右上角的表扬医生，请给我一个好评，【写几个字】就行！或者在结束问诊的时候写评语！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018531253}]

男89岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是京东中医科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050087531},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050098350},{"body":{"content":"抗体阳性，提示幽门螺旋杆菌感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050103688},{"body":{"content":"幽门螺杆菌感染的症状主要是反酸、烧心以及胃痛、口臭。幽门螺杆菌感染能够引起慢性胃炎。主要临床表现有：上腹部不适、隐痛，有时发生嗳气、反酸、恶心、呕吐的症状，病程较为缓慢，但是容易反复发作。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050111063},{"body":{"content":"我母亲幽门螺杆菌","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050111958},{"body":{"content":"恩恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050117356},{"body":{"content":"之前药物治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050123871},{"body":{"content":"目前治疗是四联治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050366397},{"body":{"content":"疗程为2周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050369845},{"body":{"content":"这些症状目前还没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050578532},{"body":{"content":"到检查显示幽门螺杆菌超","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050595386},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607365},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史吗？以便我给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050614170},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050732835},{"body":{"content":"有中度脂肪肝，无其他病症","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050769374},{"body":{"content":"稍等，为您开方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050843572},{"body":{"content":"*****，一次500mg，一日2次，饭后服用；******，一次1000mg，一日2次，饭后服用； ********，一次20mg，一日2次，饭前服用；*******，一次0.6g，一日2次，饭前服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240919},{"body":{"content":"幽门螺旋杆菌感染 注意事项：\r①注意休息，保持良好情绪，规律作息。\r②三餐定时，饮食清淡易消化，进食要细嚼慢咽，避免过饱，忌烟酒、适当饮水，避免食用生冷、辛辣、油腻的食物。保持口腔健康（勤漱口、刷牙）。\r③幽门螺旋杆菌主要经过消化道传播（主要是共用餐具进餐），建议和您长期一起共用餐具的人进行碳13或碳14呼气试验检查，以便同时治疗，治疗时建议分餐，并做好餐具消毒。\r④幽门螺旋杆菌治疗疗程为2周，建议您治疗疗程结束后停药1月后复查碳13或碳14呼气试验。服药过程中可能会出现黑便（大部分是药物所致），若无症状加重情况，比如：乏力、头晕、胃痛等，建议您观察；反之，建议线上问诊或医院就诊。⑤ 如有不适，及时线上问诊或线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051251488},{"body":{"content":"用药前请您仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用我为您开具的药品，如您在用药过程中出现不适，比如：皮疹、皮肤瘙痒、发热等不适，请您及时停药并线上咨询或去医院就诊。不适随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051380153},{"body":{"content":"您好，请问还有**问题需要咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051383024}]

男60岁

2022.05.20

[{"body":{"content":"您好，我是副主任医师周继峰，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049652754},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049655447},{"body":{"content":"你好，这里是京东医生，主要提供该商品的医学相关问题的咨询服务。请问你有什么需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049657144},{"body":{"content":"不好意思点错了，还以为是客服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049703243},{"body":{"content":"没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049712430},{"body":{"content":"你可以从我的--客服--找到京东客服。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049714222},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049911967},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049928266}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965262280},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965272031},{"body":{"content":"手汗症手术多少钱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965277380},{"body":{"content":"四五千吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965314770},{"body":{"content":"有医保","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965338165},{"body":{"content":"那就一两千块钱","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965349841},{"body":{"content":"湖南省衡阳市衡南县仁济医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965382011},{"body":{"content":"这个手术有后yi","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965419120},{"body":{"content":"那就不知道这个医院了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965419664},{"body":{"content":"一般没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965423379},{"body":{"content":"南华大学附属第一医院做手汗症手术多少钱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965454286},{"body":{"content":"这就不知道","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965486730},{"body":{"content":"我不是这医院的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965491402},{"body":{"content":"每个医院补一张","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965494823},{"body":{"content":"不一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965497441},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965585529},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965590301},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965615549}]

男21岁

2022.05.20

[{"body":{"content":"您好，我是京东儿科医生宁冬梅，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965058300},{"body":{"content":"宝宝是母乳喂养吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965067614},{"body":{"content":"是的医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965073776},{"body":{"content":"一天大便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965081290},{"body":{"content":"这种情况多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965088010},{"body":{"content":"昨天开始的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965096379},{"body":{"content":"这两天平均四五次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965104188},{"body":{"content":"中午看的时候是水样便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965114124},{"body":{"content":"晚上给他换的时候发现看着比较严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965130955},{"body":{"content":"有可能是消化不良","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965140859},{"body":{"content":"晚上看着好像胃粘液**出来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965169445},{"body":{"content":"那需要吃什么改善呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965178527},{"body":{"content":"吃上***调理一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965255193},{"body":{"content":"好的谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965274914},{"body":{"content":"不客气，祝宝宝健康快乐成长，有事联系，很高兴为您提供服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965330290},{"body":{"content":"非常感谢您的咨询，请在对话结束以后对我的服务做出评价，祝您生活愉快。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965335013}]

男4个月13天

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050394644},{"body":{"content":"胃间质瘤，晚期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050422226},{"body":{"content":"你发一下报告吧，你这样子拿着拍片子，我一点都看不见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050434568},{"body":{"content":"发现半年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050434790},{"body":{"content":"要什么样的报告","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050448111},{"body":{"content":" CT报告。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050502699},{"body":{"content":"发一下病理报告。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050518452},{"body":{"content":"没做病理，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050546380},{"body":{"content":"大夫没让做","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050562605},{"body":{"content":"没做病理怎么知道是胃间质瘤？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050568380},{"body":{"content":"沈阳肿瘤大夫根据加强ct给的结果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050589143},{"body":{"content":"建议你第1个是取病理明确病理诊断，只有病理诊断才能够确诊恶性肿瘤，第二如果是胃肠间质瘤，如果有CD117阳性的话，可以进行靶向治疗，效果还是挺好的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050618619},{"body":{"content":"光影像没有办法确诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050626187},{"body":{"content":"之前寇有为大夫给开的****，吃了之后效果不好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050676700},{"body":{"content":"除了这个药还有别的药好用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050689817},{"body":{"content":"因为你没明确，也不知道你到底适合不适合吃这个药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050705748},{"body":{"content":"就是做个胃镜取一块东西就能确诊的事儿，怎么那么麻烦呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050719225},{"body":{"content":"你首先不明确诊断让大夫怎么跟你说怎么治疗。现在要求治疗恶性肿瘤，必须有病的诊断。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050739267},{"body":{"content":"如果确诊是恶性肿瘤，胃间质瘤，那怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050817617},{"body":{"content":"得看CD117和CD34的表达水平。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050844452},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050848684},{"body":{"content":"大夫没让做病理的原因是，现在肚子里全是肿瘤，怕破裂，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050968254},{"body":{"content":"这么这边的底线是病理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051000334},{"body":{"content":"没有病理不能按恶性肿瘤治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051018839},{"body":{"content":"明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051045812},{"body":{"content":"因为不知道到底是间质瘤还是胃癌，怕方向错了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051051392},{"body":{"content":"希望您可以理解，都是家里人带老人去治疗的，我这边也是想多一个方向","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051105127},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051117743}]

男73岁

2022.05.20

[{"body":{"content":"你好，从你反映的情况看，你有自伤自残的行为。但不知道你有没有明显的焦虑，抑郁情绪？睡眠怎么样？你的行为是在缓解你的压力吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879363667},{"body":{"content":"我有很明显的焦虑也很容易情绪崩溃 然后我会通过扇自己巴掌来缓解压力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879473891},{"body":{"content":"如果你从来没有去医院就诊过，建议你首次就诊去医院精神心理科就诊，根据你的具体情况，选择做一些心理测验，进一步明确有无焦虑抑郁情绪。明确诊断后才能确定下一步的治疗方案。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879527396},{"body":{"content":"好那我明天去医院看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879550176},{"body":{"content":"好的，应该去医院面诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879584892},{"body":{"content":"那医生有没有办法可以让我睡着我最近在高考我已经两天没有睡觉了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879674298},{"body":{"content":"睡眠不是用心理治疗就能解决问题，可以用一些促进睡眠的药物（非**类的）这些药物只能在医院开。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882258938},{"body":{"content":"我已经告诉你了，促进睡眠的药物要在医院开。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652955042542}]

女21岁

2022.05.20

[{"body":{"content":"汤主任：请问一下**这几天摆头和挤眼的症状又多了些，怎么办呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877386796},{"body":{"content":"现在吃的***早晚各一颗，***早一粒半，晚二粒，**晚上一粒半","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877494310},{"body":{"content":"有没有发生特殊情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880096737},{"body":{"content":"班上最要好的一个女同学前几天不跟她玩了，在学校时她很难过，我开导了她，这两天情绪蛮好了！就是症状缓解不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652889003141},{"body":{"content":"先观察几天看看吧！应该和情绪波动有关，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652915277224}]

女13岁

2022.05.20